What question did this study set out to answer?

To assess whether a structured physician programme to evaluate and communicate predicted coronary heart disease risk lowers patients' Framingham 10-year risk compared to usual care.

August 7, 2008International Journal of Clinical PracticeOpen Access

A novel programme to evaluate and communicate 10-year risk of CHD reduces predicted risk and improves patients’ modifiable risk factor profile

View Full Paper

Ask AI

Bookmark

Why the study?

Does a physician-implemented CHD risk evaluation and communication programme reduce predicted Framingham CHD risk in patients at moderate cardiovascular risk?

Population

1103 patients at moderate cardiovascular risk across 100 sites in nine European countries.

Comparison

Physician-implemented CHD risk evaluation and… vs Usual care.

Design

RCT, cluster-randomised

Follow-up

6 months

Authors

JBJoshua S. BennerHarvard University Press LELeif ErhardtHeart Failure & Transplant MFMartina Flammer

Discussion

Member takes

Implication

Supports adoption of physician-led CHD risk communication in primary care; extends RCT evidence for structured risk reduction programs.

Key Points

To assess whether a structured physician programme to evaluate and communicate predicted coronary heart disease risk lowers patients' Framingham 10-year risk compared to usual care.
Prospective, cluster-randomized controlled trial conducted across 100 clinical sites in nine European countries with 1,103 patients at moderate cardiovascular risk.
Physicians were assigned either to calculate predicted risk and advise patients via a structured communication programme or to provide usual care without calculating risk.
Primary endpoint was Framingham 10-year coronary heart disease risk assessed at 6 months among 985 evaluable patients (524 intervention, 461 usual care).
Mean predicted 10-year CHD risk at 6 months was 12.5% in the intervention arm versus 13.7% in the usual care arm (OR = 0.896; p = 0.001; adjusted for baseline risks of 17.2% vs. 16.9%).
Significantly more patients in the intervention arm achieved combined blood pressure and LDL cholesterol targets than in usual care (25.4% vs. 14.1%; p < 0.001).
Smoking cessation occurred in 29.3% of smokers in the intervention group compared to 21.4% in the usual care group (p = 0.04).

Structured PICO

Does a physician-implemented CHD risk evaluation and communication programme reduce predicted Framingham CHD risk in patients at moderate cardiovascular risk?

Population

1103 patients at moderate cardiovascular risk across 100 sites in nine European countries.

Intervention

Physician-implemented CHD risk evaluation and communication programme (physicians calculated predicted CHD risk and advised patients accordingly).

Comparator

Usual care (physicians did not calculate patients' risk and provided usual care only).

Outcome

Framingham 10-year CHD risk at 6 months.surrogate

A physician-implemented CHD risk evaluation and communication program significantly reduces predicted 10-year CHD risk and improves modifiable risk factors compared to usual care.

Cite This Study

Benner et al. (2008) studied this question.

synapsesocial.com/papers/6a8137f00914b5fb8de3eb26 https://doi.org/10.1111/j.1742-1241.2008.01872.x

View Full Paper

Ask AI

Bookmark

A novel programme to evaluate and communicate 10-year risk of CHD reduces predicted risk and improves patients’ modifiable risk factor profile

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

A novel programme to evaluate and communicate 10-year risk of CHD reduces predicted risk and improves patients’ modifiable risk factor profile

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider